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1 results

  • Nasal tuberculosis – an update of current clinical and laboratory investigation

  • L Masterson, I Srouji, R Kent, A P Bath
  • Journal:
    The Journal of Laryngology & Otology / Volume 125 / Issue 2 / February 2011
    Published online by Cambridge University Press:
    19 October 2010, pp. 210-213
    Print publication:
    February 2011
    • Article
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  • Objective:

    To report a case of primary nasal tuberculosis, and to discuss the diagnostic difficulties encountered.

    Setting:

    A teaching hospital in Norwich, UK.

    Method:

    Case report and review of the English language literature concerning tuberculosis affecting the head and neck region.

    Result:

    The diagnosis of nasal tuberculosis is based on: histological identification of granulomatous inflammation; positive testing for acid-alcohol resistant bacilli; and positive culture. Newer diagnostic tests have the advantage of speed and improved accuracy, but are not as yet completely evaluated for the diagnosis of extra-pulmonary tuberculosis.

    Conclusion:

    It is important to consider nasal tuberculosis in the initial differential diagnosis. The quest to exclude a malignancy may lead to unacceptable delays in treatment.